Michael Charles Guzelian, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205060 Issued in CO

Practice address

1555 Main St
Windsor, CO 80550-5998

Phone

(970) 460-4871

NPI assigned

Jun 30, 2021

Last updated

Sep 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1306416557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BOARDWALK DR UNIT A31",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257313",
            "telephone_number": "978-821-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MAIN ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505998",
            "telephone_number": "970-460-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZELIAN",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elise Gregory, PA-C
• Jennifer Suzanne Grieco Desmarais, CPM, RM, LM
• Rebecca Lynn Griffie, RPH
• Judith A Groves, O.D.
• Gina Nicole Guilliams, OTR/L
• Julie Haagenstad, COMT
• Jason Wade Haas, D.C.
• Dawn M Hager
• Kaitlyn Hahn, DDS
• Miranda Halcomb, RDH

• Dentist in Windsor, CO
• Providers in Windsor, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.